rs768825050
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Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_003401.5(XRCC4):c.673C>T(p.Arg225Ter) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000242 in 1,611,664 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000024 ( 0 hom. )
Consequence
XRCC4
NM_003401.5 stop_gained
NM_003401.5 stop_gained
Scores
2
1
4
Clinical Significance
Conservation
PhyloP100: 0.389
Genes affected
XRCC4 (HGNC:12831): (X-ray repair cross complementing 4) The protein encoded by this gene functions together with DNA ligase IV and the DNA-dependent protein kinase in the repair of DNA double-strand breaks. This protein plays a role in both non-homologous end joining and the completion of V(D)J recombination. Mutations in this gene can cause short stature, microcephaly, and endocrine dysfunction (SSMED). Alternate transcript variants such as NM_022406 are unlikely to be expressed in some individuals due to a polymorphism (rs1805377) in the last splice acceptor site. [provided by RefSeq, Oct 2019]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 12 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 5-83204849-C-T is Pathogenic according to our data. Variant chr5-83204849-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 208518.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-83204849-C-T is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
XRCC4 | NM_003401.5 | c.673C>T | p.Arg225Ter | stop_gained | 6/8 | ENST00000396027.9 | NP_003392.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
XRCC4 | ENST00000396027.9 | c.673C>T | p.Arg225Ter | stop_gained | 6/8 | 5 | NM_003401.5 | ENSP00000379344 | A1 |
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 151888Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000120 AC: 3AN: 250908Hom.: 0 AF XY: 0.00000737 AC XY: 1AN XY: 135618
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GnomAD4 exome AF: 0.0000240 AC: 35AN: 1459776Hom.: 0 Cov.: 30 AF XY: 0.0000317 AC XY: 23AN XY: 726220
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GnomAD4 genome AF: 0.0000263 AC: 4AN: 151888Hom.: 0 Cov.: 32 AF XY: 0.0000270 AC XY: 2AN XY: 74202
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Jan 23, 2024 | Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss of function is a known mechanism of disease; This variant is associated with the following publications: (PMID: 25872942, 26255102, 35000298, 18695064, 33842963, 32524007, 27169690, 25728776) - |
Short stature, microcephaly, and endocrine dysfunction Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Jul 23, 2015 | - - |
Computational scores
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Name
Calibrated prediction
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Prediction
BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Pathogenic
CADD
Pathogenic
DANN
Uncertain
Eigen
Benign
Eigen_PC
Benign
FATHMM_MKL
Benign
N
MutationTaster
Benign
A;A;A;A
Vest4
GERP RS
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at